JEFF S JIRAK (NPI# 1063565455) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1063565455 |
| Entity Type | Individual |
| Full Name | JEFF S JIRAK |
| Credential | LPC, LISAC |
| Practice Address |
220 S 12th Ave Phoenix AZ 85007-3101 |
| Practice Telephone | 6023722146 |
| Practice Fax Number | 6023722164 |
| Mailing Telephone | 6023722146 |
| Mailing Fax Number | 6023722164 |
| Enumeration Date | 2007-01-19 |
| Last Update Date | 2007-07-09 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YP2500X |
Counselor Specialization: Professional |
LPC2320 | AZ | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AZ | 6126001 | 05 |
| Street Address |
220 S 12TH AVE |
| City | PHOENIX |
| State | AZ |
| Zip Code | 85007-3101 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649254301 | Jann'e M Croll | Physician Assistant | 220 S 12th Ave, Phoenix, AZ 85007-3101 | 2005-12-05 |
| 1821648494 | Elaine | Non-emergency Medical Transport (VAN) | 220 S 12th Ave, Phoenix, AZ 85007-3101 | 2019-09-16 |
| 1548775570 | Circle The City | Clinic/Center | 220 S 12th Ave, Phoenix, AZ 85007-3101 | 2017-12-13 |
| 1174063176 | Bethany Hultstrand | Dietitian, Registered | 220 S 12th Ave, Phoenix, AZ 85007-3101 | 2017-02-24 |
| 1437523115 | Lynn Meadows | Physician Assistant | 220 S 12th Ave, Phoenix, AZ 85007-3101 | 2015-11-18 |
| 1477818672 | Kathryn King | Physician Assistant | 220 S 12th Ave, Phoenix, AZ 85007-3101 | 2012-07-12 |
| 1386818334 | Margaret Elizabeth Gunn | Nurse Practitioner | 220 S 12th Ave, Phoenix, AZ 85007-3101 | 2008-04-21 |
| 1730377938 | Susan Kay Stutenroth | Social Worker | 220 S 12th Ave, Phoenix, AZ 85007-3101 | 2007-10-12 |
| 1780733352 | Allan J Gange | Counselor | 220 S 12th Ave, Phoenix, AZ 85007-3101 | 2007-01-10 |
| 1255378915 | Jonathan Cartsonis | Family Medicine | 220 S 12th Ave, Phoenix, AZ 85007-3101 | 2006-06-01 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861017824 | Tembre Eliza Delong | Student in an Organized Health Care Education/Training Program | 230 South 12th Ave, Phoenix, AZ 85007 | 2020-06-15 |
| 1841706785 | Circle The City | Clinic/Center | 206 S 12th Ave, Phoenix, AZ 85007 | 2017-12-14 |
| 1922559624 | Community Bridges, Inc. | Community/Behavioral Health | 1125 W Jackson St, Phoenix, AZ 85007 | 2016-10-18 |
| 1912358045 | Isabel Victoria Rodriguez | Speech-Language Pathologist | 2302 North 15th Avenue, Phoenix, AZ 85007 | 2016-06-30 |
| 1730441825 | Sara Joyce Edmund | Nurse Practitioner | 1424 S 7th Avenue, Phoenix, AZ 85007 | 2012-06-13 |
| 1295781771 | Ilin Chuang | Pediatrics | 150 N. 18th Ave., Suite 150, Arizona Depart. of Health Services, Phoenix, AZ 85007 | 2006-05-26 |
| 1518924802 | Michael James Higbee | Physician Assistant | 1201 S. 7th Avenue, Suite 150, Phoenix, AZ 85007 | 2006-04-28 |
| 1942278676 | David Paul Brown | Emergency Medicine | 1201 S 7 Avenue, Phoenix, AZ 85007 | 2006-03-09 |
| 1265409759 | Carol D Watkins | Emergency Medicine | 1201 S 7th Avenue, Phoenix, AZ 85007 | 2006-03-02 |
| 1982695615 | Mary Pat Nesbit | Emergency Medicine | 1201 S 7th Ave, Phoenix, AZ 85007 | 2005-11-02 |
| Find all providers in zip 85007 | ||||
| Taxonomy Code | 101YP2500X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Professional |
| Definition to come... |
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| 1023630308 | Mary Squires Moran | Counselor | 14040 N Cave Creek Rd Ste 205, Phoenix, AZ 85022-6179 | 2020-05-10 |
| 1467087106 | Omnipotent Health Services | Counselor | 3442 W Paradise Dr, Phoenix, AZ 85029-2239 | 2020-03-03 |
| 1124650536 | Erica Van Parys | Counselor | 3207 E Medlock Dr, Phoenix, AZ 85018-1426 | 2020-02-05 |
| 1790324556 | Amy Kathleen Engle | Counselor | 2432 W Peoria Ave Ste 1123, Phoenix, AZ 85029-4733 | 2019-12-26 |
| 1851934012 | Extinguishing Fear Life Coaching | Counselor | 4435 E Chandler Blvd, Phoenix, AZ 85048-7649 | 2019-10-21 |
| 1134761661 | Kerry Jean Ramella | Counselor | 809 W Maryland Ave, Phoenix, AZ 85013-1325 | 2019-10-16 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.